Active NPI
Robert G Locke, DO
- Neonatal-Perinatal Medicine Physician
- Newark, DE
National Provider Identifier
1063450609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- C20005060
- Practice address
- 4745 Ogletown Stanton Rd
Suite 217 Medical Arts Pavilion One
Newark, DE 19713-2067 - Phone
- (302) 733-2374
- Fax
- (302) 733-2602
- NPI assigned
- Jun 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | C20005060 | DE | Primary |
Addresses
Primary practice location
4745 Ogletown Stanton Rd
Suite 217 Medical Arts Pavilion One
Newark, DE 19713-2067
Mailing address
4745 Ogletown Stanton Rd
Suite 217 Medical Arts Pavilion One
Newark, DE 19713-2067
Phone (302) 733-2374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000794503 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C20005060 | DE | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274659200000",
"number": "1063450609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4745 OGLETOWN STANTON RD",
"address_2": "SUITE 217 MEDICAL ARTS PAVILION ONE",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132067",
"telephone_number": "302-733-2374",
"fax_number": "302-733-2602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4745 OGLETOWN STANTON RD",
"address_2": "SUITE 217 MEDICAL ARTS PAVILION ONE",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132067",
"telephone_number": "302-733-2374",
"fax_number": "302-733-2602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKE",
"first_name": "ROBERT",
"middle_name": "G",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2010-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "DE",
"license": "C20005060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000794503",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.